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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 135 - 140 (6page)
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초록· 키워드
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Purpose: The purpose of this study was to evaluate the clinical and radiological results of revision total hip arthroplasty using modular distal fixation stems for proximal femoral deficiency.
Materials and Methods: Forty-five patients (47 hips) were analyzed more than 24 months after revision total hip arthroplasty that used modular distal fixation stems and was performed between 2006 and 2012. There were proximal femoral defects in all cases. Preoperative femoral defect classification revealed Paprosky type II in 31 cases, type IIIA in 7, and type IIIB in 9. The mean duration of follow-up was 53.4 (25-100) months. We evaluated the Harris hip score (HHS), walking ability according to Koval as clinical parameters, stem stability, and stem position change as radiographic parameters. Kaplan-Meier survival analysis was performed.
Results: The average HHS improved form 39.5 points to 91.3 points and walking ability also improved in most cases; all patients had stable fixation of the femoral stem. Postoperative complications included 5 cases of infection and 2 cases of dislocation. The survival rate with the end point of re-revision surgery due to infection or dislocation was 86% after 8-year follow-up.
Conclusion: Cementless revision total hip arthroplasty using modular femoral stems is useful because the stems can be stably fixed on the diaphyseal portion of the femur, which has relatively good bone quality at mid-term follow-up.
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참고문헌 (24)
참고문헌 신청
Amenabar T / 2015 / Promising mid-term results with a cup-cage construct for large acetabular defects and pelvic discontinuity / Clin Orthop Relat Res
Buly R / 2005 / The S-ROM stem: versatility of stem/sleeve combinations and head options / Orthopedics 28 (9Suppl) : s1025 ~ s1032
Cameron HU / 1994 / The two- to six-year results with a proximally modular noncemented total hip replacement used in hip revisions / Clin Orthop Relat Res (298) : 47 ~ 53
Cameron HU / 2002 / The long-term success of modular proximal fixation stems in revision total hip arthroplasty / J Arthroplasty 17 (4 Suppl 1) : 138 ~ 141
Chandler HP / 1995 / Revision total hip replacement using the S-ROM femoral component / Clin Orthop Relat Res (319) : 130 ~ 140
Buly R / 2005 / The S-ROM stem: versatility of stem/sleeve combinations and head options / Orthopedics 28 (9Suppl) : s1025 ~ s1032
Cameron HU / 1994 / The two- to six-year results with a proximally modular noncemented total hip replacement used in hip revisions / Clin Orthop Relat Res (298) : 47 ~ 53
Cameron HU / 2002 / The long-term success of modular proximal fixation stems in revision total hip arthroplasty / J Arthroplasty 17 (4 Suppl 1) : 138 ~ 141
Chandler HP / 1995 / Revision total hip replacement using the S-ROM femoral component / Clin Orthop Relat Res (319) : 130 ~ 140
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